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Table 6 Accumulated dose volume histograms (DVH) over the entire breathing cycle. All plans were renormalized to GTV median dose D50

From: On the pitfalls of PTV in lung SBRT using type-B dose engine: an analysis of PTV and worst case scenario concepts for treatment plan optimization

  

PTVITV(i)

PTVVH(ii)

WCSCITV(iii)

WCSGTV(iv)

 

motion effect (Wilcoxon’s)

Mean ± SD (range)

Mean ± SD (range)

Mean ± SD (range)

Mean ± SD (range)

(i) vs.(ii) vs.(iii) vs.(iv) p-value <  0.05

GTV

D98 (Gy)

 

50.8 ± 0.6 (49.6–51.7)

51.0 ± 1.3 (48.5–52.6)

50.4 ± 1.3 (48.6–52.5)

50.3 ± 1.1 (47.4–51.5)

 

p-value

0.003

1.000

0.003

0.92

 

D50 (Gy)

 

54.0 ± 0.2 (53.7–54.4)

53.8 ± 0.3 (53.1–54.2)

54.0 ± 0.2 (53.7–54.3)

53.9 ± 0.2 (53.4–54.3)

(ii)-(iv)

p-value

0.267

0.022

0.092

0.092

 

D2 (Gy)

 

56.4 ± 0.7 (55.0–57.7)

55.8 ± 0.8 (55.0–57.4)

56.7 ± 1.0 (54.9–58.7)

56.5 ± 0.7 (55.6–58.0)

 

p-value

< 0.01

< 0.01

< 0.01

< 0.01

 

Chest Wall

V30Gy (cm3)

 

8.8 ± 8.4 (0.0–27.2)

8.7 ± 6.9 (0.0–21.2)

7.3 ± 5.5 (0.0–17.5)

7.1 ± 5.3 (0.0–17.5)

 

p-value

0.01

0.02

0.02

0.02

 

Lung

V5Gy (cm3)

 

16.5 ± 5.8 (7.7–30.0)

17.3 ± 5.1 (8.0–26.7)

16.8 ± 5.7 (7.5–28.7)

16.1 ± 5.6 (7.2–28.3)

(ii)-(iv)

p-value

0.01

0.04

0.02

0.03

 

V20Gy (cm3)

 

6.7 ± 3.3 (2.7–13.5)

6.8 ± 3.1 (2.9–12.0)

6.3 ± 3.0 (2.6–11.9)

6.2 ± 3.1 (2.5–12.2)

(ii)-(iii); (ii)-(iv)

p-value

<  0.01

<  0.05

0.02

<  0.01

 

MLD (Gy)

 

4.0 ± 1.6 (1.8–7.2)

4.1 ± 1.3 (1.9–6.1)

3.9 ± 1.4 (1.8–6.3)

3.8 ± 1.4 (1.7–6.3)

(ii)-(iv)

p-value

0.01

0.01

<  0.01

<  0.01

 
  1. Abbreviations are the same as in Table 1
  2. Note: The motion effect is the evaluated by comparing the recalculated and accumulated dose on the MidV–CT